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HomeMy WebLinkAbout2219 MING AVEENCROACHMENT PERMIT CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 (661)326-3724 TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD CALIFORNIA: Pursuant to the provisions of Chapter 12.20 of the Bakersfield Municipal Code, the undersigned applies for a permit to place, erect, use and maintain an encroachment on public property or right of way as therein defined. Application Number . . . . . 11-30000023 Date 9/27/11 Property Address 2219 MING AVE Application type description PH - ENCROACHMENT PERMIT owner Contractor DARAMY FAMILY TRUST ONNhR 2219 MING AV BAKERSFIELD CA 93309 ---------------------------------------------------------------------------- Permit . . . ENCROACHMENT PERMIT Additional dose . . Phone Accede Code . 1136340 Permit Fee . . . . 200.00 I... Date . . . . 9/27/11 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 208.0000 EA PH ENCROACHMENT _____________________________ 208.00 -------------------------- . Special Noted add Comments Henry & Kimberley Daramy 2219 Ming Avenue 4' wrought iron fence as close to street s possible on Ming Avenue and Benton Street - 661-831-9211 _____________i-------___-________--_ Fee summary Charged Paid Credited __________--------- Due _________________ ____________________ Permit Fee Total 208.00 208.00 .00 P .00 Grand Total 208.00 208.00 .00 .00 Applicant ack"ledges the right of the Cq Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any-tur e / Si one of Applicant Owa r/Agent / Print Name I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FACTS STATED IN THE FOREGOING APPLICATION AND FIND THAT THE MAINTENANCE OF SAID ENCROACHMENT (1) WILL (NOT) SUBSTANTIALLY INTERFERE WITH THE USE OF THE PLACE WHERE THE SAME IS TO BE LOCATED AND (2) WILL (NOT) gONSLffUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE ( RANTED (DENIED). Said permit shall expire on date stated above. Signature of City Engineer- Additional Terms on the Back 2 B A K. E R S F I E L D Public Works Department 1501 Truxlun Avenue Bakersfield, California 93301 (661)326-3724 APPLICATION FOR ENCROACHMENT PERMIT Permit Fee $208.00 To the City Engineer of the City of Bakersfield, California: Pursuant to the provisions of Chapter 12.20 of the Bakersfield Municipal I place, erect, use and maintain an encroachment on public property or right 1. Full name of applicant and complete address including phone number: 2. Nature or description of the encroachment for fence, concrete block wall, raised planter, etc...) 3. Location of (Example: Side 4. Period of time for which"the encroachment is to be 5. Is property part of a Homeowner's Association _ 'I _00000al s the undersigned applies for a permit to V as therein defined. back of sidewalk or front yard back of sidewalk) '>rs f: Indefinite or Other. ea) Yes 7No iron Applicant agrees that if this application is granted, applicant shall indemnify, defend and hold harmless the City, its officers agents and employees against any and all liability, claims, actions, causes of action or demands, whatsoever against. them, or any of them, before administrative, quasi-judicial, or judicial tribunals of any kind whatsoever, arising out of, connected with, or caused by applicant's placement, erection, use (by applicant or any other person or entity) or maintenance of said encroachment. The applicant further agrees to maintain the aforesaid encroachment during the life of said encroachment or until such time that this permit is revoked. Applicant further agrees that upon the expiration of the permit for which this application is made, if granted or upon the .revocation thereof by the City engineer, applicant will at his own cost and expense remove the same from the ouch property or right of way where the same is located, and restored said public property or right of way to the condition as nearly as that in which it was before the placing, erection, maintenance or existence of said encroachment. Applicant further agrees to obtain and keep ail liability insurance required by the City Engineer in full force and effect for however long the encroachment remains. Applicant shall furnish the City Risk Manager with a Certificate of Insurance evidencing sufficient coverage for bodily injury or property damage liability or both and required endorsements evidenc- ing the insurance required. The type(s) and amount(s) of insurance coverage is: /, 6lQ(D{ ©(D (r) Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. 5\EncroachmentPermitsl pplicationforEnaoachrnenl U900 oW Fiver F Bakersfield, CA 93311-6000 K-12. 1048-F784 oo,a, HENRY & KIM 2219 M 2219 MING AVE BAKERSFIELD CA 93304-4532 Location: Same as Mailing Address Loss Settlement Provisions (See Policy) Al Replacement Cost- Similar Construction B1 Limited Replacement Cost - Coverage B Forms, Options, and Endorsements Homeowners Policy FP -7955. CA Increase Dwlg up to $40 480 OPT ID Ordinance/Law 10%/.20,240 OPT OL Jewelry and Furs $1,500/$2,500 OPT JF Child Care Liability Coverage FE -7492 Policy Endorsement FE -5320 Cov'A' Loss Settlement FE -5363 Seepage or Leakage Exclusion FE -5400 $5,000 Fungus (Incl Mold) Limt FE -5427 Fungus (Including Mold) Excl FE -5424 Motor Vehicle Endorsement FE -5452 Registered Domestic Partnrship FE -5383 Continued on back of page All Losses POLICYNUMBER .87-KY41064-0_ Homeowners Policy NOV 26 2010 to NOV 26 2011 DATE DUE SEE BALANCE DUENOTIGE NOV 26 2010 $1,012.00 Coverages and Limits Section I A Dwelling $202,400 Dwelling Extension Up To 20,240 B Personal Property 151,800 C Loss of Use Actual Loss Sustained Deductibles - Section All Losses 500 Section II L Personal Liability $1,000,000 Damage to Property of Others 500 M Medical Payments to Others 5,000 (Each Person) Annual Premium $1,012.0 Amount Due Premium Reductions Home Alert Discount 66.( Home/Auto Discount 176.( Claim Free Discount 252.( Inflation Coverage Index: 228.7 a CALIFORNIA LAW REOUIRES US TO PROVIDE THE FOLLOWING NOTICE: Our records indicate that you have not purchased Earthquake Coverage. R This policy includes Building Code Upgrade Coverage of $20,240. Please help us update the data used to determine your premium. Contact your agent with the year each of 8 your home's utilities (heating/cooling, plumbing, or electrical) and roof were last updated �(y (��y�- 1f you have moved, please wntact your agent asa> ° lou [66'dt./`rM.rY& A rt BILL OTZ YNSURA AGENCY IN See reverse side for important information. E zx,zv,rv,oR,Rr,Ra,iz Telephone (661) 822-3300 or (661) 324-0355 REP Prepared SEP 29 2010 B A K E R S F I E L D Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (661)326-3724 TO WHOM 1T MAY CONCERN: We the undersigned, have no objection to the construction of a fence beside the sidewalk within the public right-of-way. (0w�e) i1V I (Oners Name) M iy) d t -�R�n-L n (Street for 2Loposeo encroachment) car a �� %✓)G (Addmssofproposedeneroxchi zl SIGNED: 1.)N@me: JcHW, E)!<OL-STAb Address'. 213 /✓lriyG A✓E 2.) Name: Cd /YM fE'. .✓.�S Address: 3.) Name: Address: -C 4.) Name: �� S Address 5.) Name: V Address: 6.) Name: 1104G{i"P �IcrXUI'U Address: �1301 Mitig ffe. PhnneG011a` CJ2l I`qOCiI Q Date: 7 — Date: -7//� Date 2711, Date:7�I- �I Date: ! -,2? Date:'i-Q -7. LL B A K E A S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Raul M. Rojas, Public Works Director FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: October 13, 2011 SUBJECT: Encroachment Permit Application for: 2219 Ming Ave. Name of Applicant: Kimberley Daramy Description of Encroachment: Install 4' Wrought iron fence on Ming Avenue and Benton Avenue. Engineering and Traffic staff has reviewed the attached encroachment permit to allow the applicant to install fence as described above. The applicant has provided proof of appropriate insurance coverage to Risk Management. Based on their review, staff recommends approval of the permit. SIPERMITS�ENCROACHV011 Approval Lettem=g Ming Ave.dw /L B A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ralph Korn, Risk Manager FROM: Bob Wilson, Supervisor Il, Subdivisions DATE: September 29, 2011 SUBJECT: Encroachment Permit Application for: 2219 Ming Avenue Name of Applicant: Daramy Family Trust Description of Encroachment: 4' Wrought iron fence on Ming and Benton. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. Si ERMITS\ENCROACMINSURAN=19 Ming Ave.dm L A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, En ' eerl FROM: Bob Wilson, Supervisor II, Subdivisions DATE: September 29, 2011 SUBJECT: Encroachment Permit Application for: 2219 Ming Avenue Name of Applicant: Daramy Family Trust Description of Encroachment: 4' Wrought iron fence on Ming and Benton Please review the attached encroachment permit and return to me at your earliest convenience. S'. WERMITS\ENCROACH\TRAFFIW219 Mine Ave.doc